Study of Intravenous Immunoglobulin in Amnestic Mild Cognitive Impairment

Inclusion Criteria:

1. Age from 50 to < 85 years old.
2. Diagnosis of Mild Cognitive Impairment, Amnestic type (single or multi domain)according to Petersen criteria (Appendix B) and supported by a CDR score of 0.5.
3. Mini-Mental State Examination (MMSE) score of 24-30, inclusive.
4. Rosen Modified Hachinski Ischemic score ≤ 4.
5. Willing to consent to Apolipoprotein E (ApoE) testing and agree to discloseApolipoprotein E4 (ApoE4) status. Previous ApoE testing will be accepted.
6. Receiving stable doses of medication(s) for the treatment of non-excluded medicalcondition(s) for at least 30 days prior to screening.
7. Ability to attend all clinical visits and have an informant capable of accompanyingthe subject on specific clinic visits for two years or the duration of the study.
8. The subject's collaborative informant (support person) must be someone who has knownthe subject for at least 4 years; agrees to have at least 2 separate communicationswith the study participant per month for the duration of the study (one of thesecommunications must be in person); and attends and completes the CDR interview at 8study visits along with the subject.
9. Fluency in English and evidence of adequate premorbid intellectual functioning.
10. Adequate manual dexterity, visual, and auditory abilities to perform all aspects ofthe cognitive and functional assessments.
11. Venous access suitable for repeated infusion and phlebotomy.

Exclusion criteria:

1. Has significant neurological disease, other than a-MCI that may affect cognition.
2. History of clinically evident stroke or history of clinically significant carotid orvertebrobasilar stenosis or plaque.
3. History of seizures, excluding febrile seizures in childhood.
4. Brain MRI shows moderate or severe cortical or hippocampal atrophy.
5. Presence of pacemakers, aneurysm clips, artificial heart valves, ear implants, CSFshunts, claustrophobia, metal fragments or foreign objects in the eyes, skin, or bodythat would contraindicate a brain MRI scan.
6. Current presence of a clinically significant major psychiatric disorder according tothe criteria of the Diagnostic and Statistical Manual of Mental Disorders, FourthEdition (DSM-IV-TR).
7. History of cancer within the last 5 years, with the exception of nonmetastatic basalcell carcinoma, and squamous cell carcinoma of the skin.
8. Uncontrolled hypertension (diastolic BP> 100 mmHg or systolic BP> 160 mmHg, sitting).
9. History or evidence of any clinically significant autoimmune disease or disorder ofthe immune system (eg., Crohn's Disease, Rheumatoid Arthritis)
10. Women of childbearing potential.
11. Weight greater than 120 kg (264 lbs).
12. Excessive smoking defined as more than 20 cigarettes per day.
13. History of alcohol or drug dependence or abuse as defined by DSM-IV criteria withinthe last 2 years.
14. Severe liver or kidney disease verified by the PI review of alanine aminotransferase (ALT), aspartate aminotransferase (AST) and creatinine.
15. Known coagulopathy, thrombosis, or low platelet count.
16. Known deficiency to Immunoglobulin A (IgA).
17. Positive serology for Hepatitis B or C, or HIV.
18. Concurrent or prior treatment with cholinesterase inhibitors and/or memantine, orAxona for cognitive enhancement. Exceptions (e.g. brief exposure to one of thesemedications) may be authorized if agreed upon by PI and sub-I.
19. Concurrent use of anticholinergic drugs including diphenhydramine.
20. Current use of anticonvulsant drugs for seizures, antiparkinson drugs, anticoagulantmedications (except the use of aspirin 325 mg/day or less, plavix, aggrenox, andpersantine but not for stroke).
21. Concurrent use of opioid pain relievers and related synthetic derivatives.
22. Use of experimental medications for AD or any other investigational medications ordevices within 60 days prior to screening or within 5 half-lives of use of such amedication prior to screening, whichever is longer.
23. Prior treatment with IVIG or other experimental immunotherapeutic or vaccine for MCIor AD, or prior treatment with a biological product for the treatment of a-MCI or AD.